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Laparoscopic Gastric Bypass with Roux Y Limb
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Laparoscopic Bariatric Procedures |
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Physician Section: LGBRY |
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Laparoscopic Gastric Bypass with Roux
Y Limb |
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Technical Summary |
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 | Full Laparoscopic Procedure. |
| 10-15 ml Gastric Pouch [with gastric transection] uniquely using USSC ENDOGIA II Universal Stapling
Device. |
| Standard [ Retrocolic,
Retrogastric] 80 to 100 cm Roux Y Limb [bypassed small bowel]
using USSC ENDOGIA II Universal Stapling Device. |
| Banded or non banded, calibrated
gastro-enterostomy using the USSC ENDOGIA II Universal Stapling
Device and the USSC ENDOSTICH Instrument. |
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| Technical
Difficulty Level = 9 - HIGH |
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Bariatric
Procedure Classification |
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| Gastric restrictive procedure [15ml
calibrated gastric pouch with calibrated, outflow
gastrojejunostomy] with/ |
| Combination malabsorptive component
[bypassed standard Roux Y limb from biliary-pancreatic enzymes to
limit oral intake absorption and generate dumping syndrome for
complex carbohydrate-rich foods] |
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Expected Surgical Outcome |
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| 80-85% excess weight loss within 12-18
months |
| Average 10% failure rate with close,
post-operative monitoring - Up to 20 % failure rate without close
post-operative monitoring. |
| Significant decrease of all co-morbid
factors [diabetes, hypertension, sleep apnea, etc] within 6-12
months. |
| Negligible, long tern metabolic
complications. |
| Negligible, rate of post-operative
endoscopic dilatation of the gastro-enterostomy |
| Negligible rate of gastro-enterostomy leak |
| Significant risk of intra or postoperative
Deep Venous Thrombosis with or without Pulmonary Embolus. |
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Surgeon's Surgical Skill Requirements |
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| High volume of advanced, laparoscopic
procedures, |
| Bariatric surgical training and
credentialing, |
| High volume of Performed Laparoscopic
gastric bypass with Roux Y Limb per year, |
| Use of a specialized, bariatric, surgical
service. |
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